Re: Application to change club rules

[Cameron Horsburgh]

Whoops. I don't know how this ended up being sent to this
list, but it is very embarrassing.

Sorry for the noise.

On Tue, Mar 31, 2009 at 04:35:12PM +1100, Cameron Horsburgh wrote:
> Here 'tis!
> -- 
> 
> Cameron Horsburgh
> 
> Blog: http://spiritcry.wordpress.com/

> Application fee is $68.10 Refer to the back page for payment methods.
> This form must be lodged within 28 days of the special resolution being 
> passed.
> Please use a black pen to complete this form. Please print clearly using 
> block letters. 1. Registration number
> P
> 
> Application for Alteration of Rules or Purpose
> Associations Incorporation Act 1981 Section 22(3)
> Office use only Date received / Initials
> 
> 0408
> 
> To be completed by public officer A
> 
> /
> 
> 2. Name of Incorporated Association
> P
> 
> P
> 
> ABN
> 
> 3. Registered address
> P
> 
> Inc.
> State VIC
> 
> 4. Type of alteration
> P P
> 
> Postcode
> 
> Alteration to Statement of Purposes – you must attach a copy of new Statement 
> of Purposes / /
> 
> 5. Date of meeting at which this
> Name of public officer
> 
> Alteration to rules - you must attach a consolidated copy of the new rules to 
> this application and include a summary of the amendments Copy of Special 
> Resolution and the minutes of the meeting are attached
> 
> 6. Details of public officer making this application
> Signature of public officer Contact email address
> 
> special resolution was passed
> 
> Date
> 
> /
> 
> /
> 
> Daytime telephone number
> 
> The Statutory Declaration on the back of this form must be completed and 
> signed by two committee members
> Privacy – CAV is committed to responsible and fair handling of your personal 
> information, consistent with the laws we administer and the Information 
> Privacy Act 2000. The information marked with a ʻ P ʼ on this form will be 
> placed on the public register in accordance with the Associations 
> Incorporation Act 1981. We may be unable to process this form if you do not 
> provide the required information. You can contact us at any time to request 
> access to the personal information we hold about you. In exceptional 
> circumstances, you may apply to have public access to your personal 
> information restricted. Our privacy statement, and other privacy information 
> is available at www.consumer.vic.gov.au or on request. www.consumer.vic.gov.au
> IA Form 6 (1/7/08)
> 
> I, (print your full name and title) of, (print your address)
> 
> This section to be completed by committee member 1
> 
> Statutory Declaration
> 
> I, (print your full name and title) of, (print your address)
> 
> This section to be completed by committee member 2
> 
> declare that: 1. I am a committee member of the Association named in this 
> form. 2. A special resolution was passed at a meeting of members held on the 
> date specified at point 5. in this form to alter the Association rules and/or 
> purpose. 3. The attached copy of the special resolution was passed in 
> accordance with section 22 of the Associations Incorporation Act 1981. 4. The 
> attached consolidated copy of the Association Rules and/or Statement of 
> Purposes is a true copy. I acknowledge this declaration is true and correct 
> and I make it in the knowledge that a person making a false declaration is 
> liable to the penalties of perjury. Signature of committee member
> 
> Postcode
> 
> Note:You must sign this declaration in the presence of the witness
> 
> declare that: 1. I am a committee member of the Association named in this 
> form. 2. A special resolution was passed at a meeting of members held on the 
> date specified at point 5. in this form to alter the Association rules and/or 
> purpose. 3. The attached copy of the special resolution was passed in 
> accordance with section 22 of the Associations Incorporation Act 1981. 4. The 
> attached consolidated copy of the Association Rules and/or Statement of 
> Purposes is a true copy. I acknowledge this declaration is true and correct 
> and I make it in the knowledge that a person making a false declaration is 
> liable to the penalties of perjury. Signature of committee member
> 
> Postcode
> 
> Note:You must sign this declaration in the presence of the witness
> 
> Authorised witness Declared at (print suburb or town) in the State of 
> Victoria, on the (month) (year) Before me, being a person authorised under 
> section 107A(1) of the Evidence Act 1958 to witness the signing of a 
> Statutory Declaration. Signature of witness Printed name, address and 
> qualification to witness this Statutory Declaration day of
> 
> Authorised witness Declared at (print suburb or town) in the State of 
> Victoria, on the (month) (year) Before me, being a person authorised under 
> section 107A(1) of the Evidence Act 1958 to witness the signing of a 
> Statutory Declaration. Signature of witness Printed name, address and 
> qualification to witness this Statutory Declaration day of
> 
> Statement of Purposes – If the Association has altered its Statement of 
> Purposes, you must attach a copy of the member approved Statement of Purposes.
> 
> Rules – If the Association has altered its rules you must attach a full copy 
> of the rules to this application.
> 
> I have attached a copy of the special resolution passing the alteration(s)
> 
> Your application cannot be processed without the following documents
> 
> Checklist
> 
> Contact Consumer Affair Victoria: Telephone: 1300 36 16 73 Fax: (03) 8684 6210
> Visa Mastercard Amex
> 
> Deliver in person to: Consumer Affairs Victoria 113 Exhibition Street 
> Melbourne Counter area is open 8.30am–5.00pm Monday to Friday (closed on 
> public holidays)
> 
> The fee can be paid by cheque, money order or credit card. Do not send cash 
> through the mail. Cash will be accepted if paying in person. Cheques and 
> money orders are to be made payable to: ʻConsumer Affairs Victoriaʼ. Fax to: 
> 8684 6210 Send by post to: Consumer Affairs Victoria GPO Box 4567 Melbourne 
> 3001 (please use a large envelope and fold this form as little as possible)
> 
> How to lodge and pay for this application
> 
> If paying by credit card, fill in your credit card details below (all details 
> must be complete to process this form)
> Card number Name of cardholder Card expiry date Amount $68.10
> 
> *Note on CCV numbers: Credit cards are now issued with a CCV number. This is 
> the last three numbers located on the signature strip on the back of the 
> card. If your credit card has been allocated this number enter the three 
> numbers in the space provided.
> 
> CCV number *(see note below)
> 
> Signature of cardholder
> 
> /
> 
> Daytime telephone number
> 
> Date
> 
> • • • • •
> 
> • • • • • • • • • • • • •
> 
> A member of the Police Force The Sheriff or a Deputy Sheriff A Justice of the 
> Peace A notary public A legally qualified medical practitioner A dentist A 
> veterinary surgeon A pharmacist A principal in the (State) teaching service 
> The Manager of a bank A barrister and solicitor of the Supreme Court A clerk 
> to the barrister and solicitor of the Supreme Court The Prothonotary or a 
> Deputy Prothonotary of the Supreme Court The Registrar or a Deputy Registrar 
> of the County Court The Principal Registrar of the Magistratesʼ Court The 
> Registrar or a Deputy Registrar of the Magistratesʼ Court The Registrar of 
> Probates or an Assistant Registrar of Probates The associate to a Judge of 
> the Supreme Court or of the County Court
> 
> In accordance with the Evidence Act 1958, the following people may witness a 
> Statutory Declaration within Victoria
> 
> /
> 
> /
> 
> • The secretary of a Master of the Supreme Court or of the County Court • A 
> person registered as a patent attorney under Part XV of the Patents Act 1952 
> of the Commonwealth • A member or former member of either House of the 
> Parliament of Victoria • A member or former member of either House of the 
> Parliament of the Commonwealth • A councillor of a municipality • A senior 
> officer of a Council as defined in the Local Government Act 1989 • A member 
> of the Institute of Chartered Accountants in Australia or Australian Society 
> of Accountants or National Institute of Accountants • The secretary of a 
> building society • A minister of religion authorised to celebrate marriages • 
> A person who holds a prescribed office in the public service under Section 
> 107A of the Evidence Act 1958 • A fellow of the Institute of Legal Executives 
> (Victoria)
> 
> 

-- 

Cameron Horsburgh

Blog: http://spiritcry.wordpress.com/